scholarly journals First branchial cleft fistula: a case report and literature review

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Razan Bawazir ◽  
Abdullah Bawazir ◽  
Osama Bawazir
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Multidisciplinary Approach ◽  
Treatment Process ◽  
Nerve Monitoring ◽  
Case Presentation ◽  
Rare Malformation ◽  
Branchial Cleft ◽  
Magnetic Resonance Imaging Mri

Abstract Background First branchial cleft fistula is a rare malformation of the neck and head. The purpose of this report is to showcase a method of treating first brachial cleft fistula while preserving the facial nerve. Case presentation This case report presents an 8-year-old female with a type 2 first branchial cleft fistula. The treatment process follows multidisciplinary approach with the aid of health professionals from different departments, pre-op magnetic resonance imaging (MRI) scanning to map the fistula, and the use of nerve monitoring device (NIM). Conclusion The procedure was successfully done while preserving the facial nerve.

Descending Cervical-Sacral Pain after the Administration of Antivenom to the Scorpion Sting Poisoning: A Case Report

2020 ◽  
Vol 2 (2) ◽  
pp. 93-96
Author(s):  
Josué Saúl Almaraz Lira ◽  
Alfredo Luis Chávez Haro ◽  
Cristian Alfredo López López ◽  
Remedios del Pilar González Jiménez
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Case Report ◽  
Signs And Symptoms ◽  
Cervical Region ◽  
Scorpion Sting ◽  
Case Presentation ◽  
Sacral Region ◽  
Scorpion Stings

Introduction. Scorpion stings occur mainly in spring and summer, with an estimate of 1.2 million cases per year worldwide. About 300,000 poisonings occur within a year, primarily affecting children and adults older than 65 years. In 2019, Guanajuato (Mexico) ranked third in poisoning by scorpion sting with a total of 43,913 cases. The intoxication grades are three where the signs and symptoms are varied. There are two types of antivenom in the Mexican market, and we use Alacramyn® in our case. Case presentation. A 70-year-old female —with grade 1 scorpion sting poisoning, 30 minutes of evolution, with type 2 diabetes and high blood pressure— received two vials of antivenom according to current regulations. She presented transient vagal reaction and subsequent transient pain in the cervical region that radiates to the sacral region. At discharge, there are no data compatible with scorpion sting poisoning. Conclusions. Transient pain in the cervical region to the sacral region may be secondary to an anxiety crisis, hypersensitivity to IgG, or secondary reaction to administration in less time than recommended by the provider. The benefit was greater than the reactions that occurred.

scholarly journals Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Interventional Radiology ◽  
Case Report ◽  
Magnetic Resonance ◽  
Thoracic Duct ◽  
Rare Case ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Thoracostomy Tube ◽  
Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

scholarly journals Multidisciplinary Management of Intrathoracic Goiter: A Case Report

2019 ◽  
pp. 1-3
Author(s):  
Silvia Ippolito ◽  
Jessica Sabatino ◽  
Davide Inversini ◽  
Matteo Annoni ◽  
Maria Laura Tanda
Keyword(s):  
Case Report ◽  
Total Thyroidectomy ◽  
Gold Standard ◽  
Multidisciplinary Approach ◽  
Medical Complications ◽  
Multidisciplinary Management ◽  
Case Presentation ◽  
Safety And Efficacy ◽  
Intrathoracic Goiter

Introduction: Intrathoracic goiters are associated with compression of nearby structures, triggering severe compressive symptoms. Total thyroidectomy is the gold standard to treat these cases. Case Presentation: A patient with a huge intrathoracic goiter suffering from compressive symptoms underwent a thorough clinical, functional and imaging assessment and underwent total thyroidectomy in an Endocrino-Metabolic surgical referral center; after the surgery she suffered from transient hypocalcaemia but was discharged without major complications and continued periodical endocrinological follow-up. Conclusion: Management of intra-thoracic goiter requires a multidisciplinary approach of a skilled team both pre, during and after surgery to maximize the safety and efficacy of the procedure and reduce or promptly manage surgical or medical complications.

scholarly journals Penetrating Orbitocranial Injury With a Good Aesthetic and Functional Outcome: A Case Report

2021 ◽  
Vol 7 (1) ◽  
pp. 61-66
Author(s):  
Youssef Fahde ◽  
◽  
Davis Mpando ◽  
Mehdi Laghmari ◽  
Houssine Ghannane ◽  
...  
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Violent Behavior ◽  
Case Presentation ◽  
Frontal Horn ◽  
Patient Reported ◽  
Long Term Follow Up ◽  
Life Threatening

Background and Importance: Transorbitocranial assaults with sharp objects like a knife are rare neuro-ophthalmologic emergencies. However, they can have dramatic functional and life-threatening consequences. Our presentation aims to report the importance of an urgent multidisciplinary approach and to raise awareness among the general population on the importance of preventing violent behavior. Case Presentation: A 33-year-old man was a victim of a knife attack without obvious brain or ophthalmological lesions. The knife entered the medial part of the orbit. Neurological examination was normal, and Computed Tomography (CT) scan showed intracranial trajectory through the orbit to the frontal horn of the lateral ventricle. The knife was extracted without complications. The patient reported spectacular improvement in visual acuity without neurological or oculomotor deficit at long-term follow-up. In this case report, we will discuss the radiological diagnosis and surgical management of transorbital and orbitocranial injuries by foreign body penetration. Conclusion: Urgent multidisciplinary management in orbitocranial trauma by stabbing is mandatory to avoid life-threatening complications and irreversible damages.

scholarly journals Congenital pouch colon with colonic atresia- An unusual embryological association: A case report

2021 ◽  
Vol 10 ◽  
pp. 33
Author(s):  
Praveen Mathur ◽  
Sharanabasappa Gubbi ◽  
Aadil Farooq ◽  
Priyanka Mittal ◽  
Gunjan Sharma
Keyword(s):  
Case Report ◽  
Anorectal Malformation ◽  
English Literature ◽  
Abdominal Distension ◽  
Case Presentation ◽  
Male Baby ◽  
Colonic Atresia ◽  
Congenital Pouch Colon ◽  
Pouch Colon

Background: Congenital pouch colon (CPC) is a rare variant of high anorectal malformation. More and more varied associations of CPC with other entities are being added to the literature. Case presentation: A 1-day-old male baby presented to the emergency room with marked abdominal distension and absent anal opening. On exploration, the baby was found to have CPC (Type 2) with colonic atresia. This association has not been reported in English literature. Conclusion: This is a report of a case of type 2 CPC with colonic atresia. To the best of our knowledge, such an association has not been reported so far. The final embryological outcome is dictated both by the topography and timing of vascular insult.

scholarly journals A Case Report Based On Complete Androgen Insensitivity Syndrome

2020 ◽  
Author(s):  
pengju li ◽  
jiefei xiao ◽  
junhang luo ◽  
wei chen
Keyword(s):  
Case Report ◽  
Medical History ◽  
Rare Disease ◽  
Multidisciplinary Approach ◽  
Androgen Insensitivity Syndrome ◽  
Surgical Removal ◽  
Case Presentation ◽  
Complete Androgen Insensitivity Syndrome ◽  
Androgen Insensitivity ◽  
Appropriate Care

Abstract Background: Androgen insensitivity syndrome (AIS) is a rare disease caused by mutations in the AR gene. This results in resistance to the actions of androgen as well as a female phenotype with 46 XY. Anatomically, individuals with AIS lack both a uterus and ovaries. Case presentation: In this case report, we detail a 32-year-old patient with complete AIS (CAIS). This female patient with 46 XY genotype came to our hospital seeking surgical removal of bilateral testis. The subsequent medical history, clinical examination, imaging, and endocrine outcomes from this patient were collected and are presented here. Conclusions: Individuals with CAIS need appropriate care from doctors and support from their family. The diagnosis, treatment, and management of CAIS also requires a multidisciplinary approach.

Congenital Unilateral Synostosis of Elbow Associated with Multiple Hand Anomalies (Case Report)

Hand Surgery ◽  
1997 ◽  
Vol 02 (01) ◽  
pp. 47-52
Author(s):  
Emre Togrul ◽  
Yaman Sarpel ◽  
Huseyin Bayram
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Rare Malformation ◽  
The Right ◽  
Hand Anomalies

Congenital synostosis of the elbow is a very rare malformation of the upper limb. We present two similar cases with congenital humeroradial synostosis in association with absence of the ulnar carpals, fourth and fifth metacarpals and phalanges, and syndactily between the second and third fingers. Both cases were male and their anomalies were on the right side. In the second case, an Aitken type-2 proximal focal deficiency of femur was also present.

Psychogenic astasia-abasia: A case report and a review of the literature

2016 ◽  
Vol 33 (S1) ◽  
pp. S325-S325
Author(s):  
A. Mota
Keyword(s):  
Case Report ◽  
Movement Disorders ◽  
Multidisciplinary Approach ◽  
Gait Disturbance ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Psychogenic Movement Disorders ◽  
Motor Strength ◽  
Competing Interest ◽  
Commit Suicide

IntroductionPsychogenic movement disorders are the result of a psychiatric rather than a primary neurological disorder. Astasia-abasia refers to the inability to stand or walk despite having good motor strength and conserved voluntary coordination.ObjectivesStarting from a case report of a patient with an unusual gait disturbance the author intends to discuss the history and knowledge evolution on psychogenic gait disorders until the present time.AimsTo debate the nosology, clinical features, diagnosis and treatment of psychogenic movement disorders.MethodsNon-systematic review of the literature. Case presentation with the exhibition of a video showing the patient's gait.Case presentationA 48-year-old female was admitted to a psychiatry ward after attempting to commit suicide by cutting her throat. On day 3, she suddenly could not walk or stand without help. The neurological examination revealed some inconsistencies and all laboratory, electroencephalogram, and imaging studies performed were normal. After 2 weeks of treatment she started gradually getting better until the full recovery.DiscussionThe gait disturbance presented might be regarded as a form of astasia-abasia. This term was first coined by Paul Blocq (1888) when he described a group of patients who showed inability to maintain an upright posture. Similar movement disorders were previously described as hysteria by authors like Charcot. Nowadays, these case descriptions would be likely considered cases of conversion or psychogenic gait disorder.ConclusionThe etiology of these disorders is still not very well understood. These patients usually benefit from a multidisciplinary approach that includes psychiatry, neurology, physiotherapy, among others. Pharmacological and non-pharmacological treatments should address the underlying psychiatric condition.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Anaesthesia challenges of a parturient with paramyotonia congenita and terminal filum lipoma presenting for labour and caesarean section under epidural anaesthesia – a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wei Shyan Siow ◽  
Wan-Ling Alyssa Chiew
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Skeletal Muscles ◽  
Multidisciplinary Approach ◽  
Autosomal Dominant ◽  
Perioperative Complications ◽  
Periodic Paralysis ◽  
Paramyotonia Congenita ◽  
Case Presentation ◽  
History Of

Abstract Background Paramyotonia congenita is a rare autosomal dominant myopathy which presents with periodic weakness due to cold and exercise. It is caused by mutations of the SCN4 gene which encodes the sodium channel in skeletal muscles. Case presentation We report a full term obstetric patient with both paramyotonia congenita and terminal filum lipoma who presents for induction of labour followed by an emergency caesarean section performed under epidural anesthesia. Her recovery is subsequently complicated by a 3-day history of postpartum paraparesis attributed to hypokalemic periodic paralysis. Conclusion We describe the perioperative anesthesia considerations and challenges in this case with a review of the current literature. This case report highlights the importance of early proactive and collaborative multidisciplinary approach, maintaining normal temperature and electrolytes with a heightened vigilance for muscle-related perioperative complications.

scholarly journals A case report of endocarditis and spondylitis caused by Brucella melitensis biovar 3

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huan Zhang ◽  
Songsong Xie ◽  
Yueli Wang ◽  
Xiaoli Zhao ◽  
Jihai Yi ◽  
...  
Keyword(s):  
Case Report ◽  
Brucella Melitensis ◽  
Successful Outcome ◽  
Power Losses ◽  
Intermittent Fever ◽  
Case Presentation ◽  
Magnetic Resonance Imaging Mri ◽  
The Moment ◽  
Psoas Major ◽  
The Rose

Abstract Background This case report describes the clinical process of a shepherd who suffered brucellosis-related endocarditis (BE) and spondylitis (BS) and was infected with Brucella melitensis biovar 3 (B. melitensis biovar 3). Case presentation A 55-year-old male patient was admitted to The First Affiliated Hospital of Shihezi University on October 11, 2018, due to over 3 months of intermittent fever, back pain, and heart trouble. The Rose Bengal Plate test was positive, the standard agglutination test titer for brucellosis was 1/800, and the blood culture was positive for B. melitensis biovar 3. Three instances of transthoracic echocardiography examination at days 1, 25, and 376 after admission to the hospital and magnetic resonance imaging (MRI) and computed tomography (CT) checks at days 5 and 38 revealed that the size of the vegetation on the posterior leaflet of the mitral valve increased from 0.7 × 1.4 cm to 1.2 × 1.5 cm and that the left atrium and ventricle were enlarged. The MRI and CT results showed hyperplasia of the second and third vertebra, a cold abscess formed on both sides of the psoas major muscles, and the vertebra hyperplasia became aggravated at a later time point. The patient’s situation deteriorated, and heart failure was discovered on October 22, 2019. At the moment of submission of this manuscript, the patient remains in bed at home because of severe debility caused by brucellosis. Conclusions This is the first reported case of endocarditis combined with spondylitis caused by B. melitensis biovar 3 in a shepherd. Brucellosis infection can cause work-power losses because of misdiagnosis or a lack of proper treatment. Early diagnosis and treatment are essential for a successful outcome.

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